Walk of Hearts Canoga Park - Recognition Award for Teachers in the San Fernando Valley

Welcome to the Canoga Park Walk of Hearts

Nomination Form

The Walk of Hearts is currently accepting nominations for 2009. Please complete the nomination form below, including writing an essay of approximately 150 words describing how this teacher made a significant impact in your life or that of someone you know. Submissions must be received by March 31, 2009.

*It is my honor to nominate:* * We must be able to contact the teacher you are nominating - Please fill out these boxes to the best of your ability.
Nominee Namee	*
Home Address (If Known)
City,State, Zip Code
(Area Code) Phone Number	*
(Area Code) Fax Number
Email:	*
Name of School
Year(s) Taught	TO
School District (If Known)
School Street Address
School City, State, Zip Code
Current School Principal
School (Area Code) Phone Number

Nominator (Your) Name
Address
City, State, Zip Code
(Area Code) Phone Number
(Area Code) Fax Number
Email
Relationship to the Nominee
Best time to contact
Essay -- write an essay of approximately 150 words describing how this teacher made a significant impact in your life or that of someone you know.

If you prefer to fill out the information on a hard copy of the Nomination Form, please click here to download the form as an Adobe PDF file.

After completing the Form, please mail or fax to:

Walk of Hearts
Canoga Park/West Hills Chamber of Commerce
7248 Owensmouth Avenue
Canoga Park, CA 91303
Phone: (818) 884-4222 or (818) 422-3144
Fax: (818) 884-4604